Individual
MR. JARED BLAKE ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9046989-3102
UT
363LA2100X
Acute Care Nurse Practitioner
9046989-4405
UT
Other
Enumeration date
11/16/2022
Last updated
03/09/2026
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